2.516.A.2 · The center must obtain written permission from parents/guardians for any transportation of their child during child care hours.

Reviewed 8 child files and observed 3 children to be missing written permission for transportation. Correction: Obtain written permission for transportation, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: transportation. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 18 staff files and observed Abby V and Autumn J to be missing a child abuse and neglect check (TRAILS). *Previously cited 6/11/20, 6/7/22, 6/12/23 Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.517.B · Parents or guardians must be given the opportunity to indicate to the staff of the center if they do not want their child to participate in an activity.

Reviewed 8 child files and observed 3 children to be missing parent permission for activities. Correction: Obtain parent permission for activities, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

2.519.C · The center must develop a media and internet usage plan outlining screen time and media use related to their curriculum. The media plan must have information on ongoing communication with children about safe online practices. The center must obtain a signed document stating that the parents/guardians have received this plan, and agree to the activities described in the plan.

Reviewed 8 child files and observed 3 children to be missing media permission from parents/guardians. Correction: Obtain media permission from parents/guardians, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

2.525.A.9 · The center must maintain and update annually a record on each child that includes:Written authorization from a parent or guardian for the child to participate in field trips and to participate in program activities, listing all exclusions from authorization;

Reviewed 8 child files and observed 3 children to be missing fiel trip permission. Correction: Obtain field trip permission for children, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.C.1 · Any un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child.

A health care plan to be missing parental consent. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain parental consent on the health care plan, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: health medication. Marked corrected in the state record.

2.512.C.3 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

An inhaler to be missing a prescription label. Correction: Obtain prescription label for inhaler, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: health medication. Marked corrected in the state record.

2.512.D.2 · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

Several bottles of sunscreen to be missing children's first and last names. Correction: Sunscreen must have children's first and last name, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

2.525.A.5 · The center must maintain and update annually a record on each child that includes: Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if parents/guardians cannot be reached immediately;

Child enrollment form to be missing addresses for emergency contacts. Correction: Add address for emergency contact to enrollment form, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.525.A.6 · The center must maintain and update annually a record on each child that includes: Name, address, and telephone number of the child's physician, dentist, and hospital of choice;

Child enrollment form to be missing addresses for dentist, physician and hospital. Correction: Add addresses for dentist, physician and hospital to enrollment form, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.L · All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 18 staff files and observed Mikayla S to be missing a department approved child abuse prevention training. *Previously cited 6/18/21, 6/7/22, 6/12/23 Correction: Obtain department approved child abuse prevention training for staff, correct by 8/9/24. Document compliance to specialist by 8/9/24. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.A.1.b · At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment Certificate of Immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 8 child files and observed one child to be missing an immunization record and 2 children to have immunizations not on a CDPHE approved form. Correction: Obtain immunizations for children on CDPHE approved form, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: health medication. Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ incidents of child abuse or neglect according to state law.

Reviewed 18 staff files and observed all staff to be missing a signed statement clearly defining child abuse. *Previously cited 6/7/22, 6/12/23 Correction: Obtain a signed statement for staff, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 18 staff files and observed Payton U to be missing a department approved emergency and disaster preparedness training. *Previously cited 6/18/21, 6/7/22, 6/12/23 Correction: Obtain a department approved emergency and disaster preparedness training for staff, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.C · Each staff member and regular volunteer as defined in rule section 2.510 must complete an annual health history. The health history must be maintained by the center in a secure location.

Reviewed 18 staff files and observed Mikayla S to be missing an annual health history. *Previously cited 6/18/21, 6/7/22, 6/12/23 Correction: Obtain current health history for staff, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: health medication. Marked corrected in the state record.

2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 18 staff files and observed Allyson M and Autumn J to be missing a department approved standard precautions training. *Previously cited 6/11/20, 6/18/21, 6/7/22, 6/12/23 Correction: Obtain a department approved standard precautions training for staff, correct immediately 7/9/24. Document

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.507.M · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 18 staff files and all staff were missing a child development training. Correction: Obtain a child development training for staff, correct by 8/9/24. Document compliance to specialist by 8/9/24. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 18 staff files and observed all staff to be missing a signed statement they have been trained in medication policies. Correction: Obtain signed statements for staff that they have been trained in medication policies, correct immediately 8/9/24. Document compliance to specialist by 8/9/24. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: ratio. Marked corrected in the state record.

2.508.B · Program Leaders Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must meet the following qualifications:

Reviewed 18 staff files and observed Bella S and Clay C to be missing program leader qualifications. *Previously cited 6/18/21, 6/7/22, 6/12/23 Correction: Obtain program leader qualifications for staff, correct immediately 7/9/24 or prior to using staff as program leaders. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

2.526.A.3 · The center office must maintain a record for each staff member that includes the: Name, address, and phone number of the person(s) to be notified in the event of an emergency;

Reviewed 18 staff files and observed Mikayla S to be missing an emergency contact. Correction: Obtain emergency contact for staff, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 18 staff files and observed Mikayla S to be missing a perjury statement. Correction: Obtain perjury statement for staff, correct immediately 7/9/24. Document compliance to specialist by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

7.712.43.H · . At all times, school-age child care personnel must be directly supervising the children.

Identified through staff statements that no staff observed an injury occur. Correction: School age personnel must be directly supervising children, correct immediately 9/8/23. Document compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.712.52.B.2 · When accidents, injuries, or illnesses occur, the program director or responsible adult in charge must notify the child’s parent or guardian and, if necessary, seek medical care for the child.

Identified through staff statements that communication was not made between staff and family after an injury occurred. Correction: When injuries occur, parents/guardians must be notified, correct immediately 9/8/23. Document compliance to specialist by 9/15/23. Correct by 09/08/2023 Stage II Licensing Concern : Facility did not report a reportable incident as required by regulation and statute - FOUNDED

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.701.53.B · . Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

Facility did not report a reportable incident as required by regulation and statute Correction: Staff must report a reportable incident as required by regulation and statute, correct immediately 9/8/23. Document compliance to specialist by 9/15/23. Correct by 09/08/2023 Stage II Licensing Concern : A reportable incident occurred in July and no report was made to the department. - FOUNDED

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.701.52.B.1.d · . Within twenty four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty four (24) hours of a child's return to the facility the licensee must report in writing to The Office of Early Childhood, Division of Early Care And Learning the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement, or a county department of human or social services agency, or the child abuse reporting hotline as described in Section 19-3-304, C.R.S.

Identified through staff statements that a reportable incident occurred in July and was not reported to the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ department. Correction: Within 24 hours of an allegation of abuse/neglect, provider must report to the department, correct immediately 9/8/23. Document compliance to specialist by 9/15/23. Correct by 09/08/2023 ________________________________________________ Stage II Licensing Concern : Staff member 1 reported they have 1:15 (cap) but supervising the groups is 1:30 with a licensed staff member. - UNFOUNDED ________________________________________________

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.